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Contact Information

PRISMAMED SERVICES LLC
44790 MAYNARD SQUARE
SUITE 320
ASHBURN, VA20147
 Phone: 703-868-3011
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for PRISMAMED SERVICES LLC

NPI Number 1386079788
LBN Legal business name PRISMAMED SERVICES LLC
Authorized official VANDANA PALAGIRI - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/05/2013
Last updated 02/25/2026 - About 3 months ago
Identifiers
VA License # 0101250130
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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